| NPI | 1588051213 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: MN R 218003-8) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10003322) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61385949) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 5275) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 16286-33) | |
| 163W00000X Registered Nurse (Licence: CA 95351724) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95027422) | |
| Enumeration Date | 2015-04-21 |
| Last Update Date | 2025-11-11 |