| NPI | 1396281911 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10029163) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA 95027564) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9441794) | |
| Enumeration Date | 2017-01-07 |
| Last Update Date | 2024-08-24 |