| NPI | 1366991846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist Psychiatric/Mental Health (Licence: OR 201701958NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: ID 26662) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 20170195BNP-PP) | |
| Enumeration Date | 2016-09-26 |
| Last Update Date | 2022-07-20 |