| NPI | 1407200413 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202203390-NP-PP) |
| Additional Taxonomies | 174H00000X Health Educator (Licence: NV RN55131) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G167246) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 238538) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 848206) | |
| Enumeration Date | 2016-04-15 |
| Last Update Date | 2022-04-10 |