| NPI | 1407203243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202106217NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60986177) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP8904) | |
| Enumeration Date | 2016-05-23 |
| Last Update Date | 2023-07-14 |