| NPI | 1407846934 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202207534NPPP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 93197) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 93197) | |
| 364S00000X Clinical Nurse Specialist (Licence: CO 93197) | |
| Enumeration Date | 2005-10-26 |
| Last Update Date | 2023-10-30 |