NPI | 1598117434 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10047729) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G165850) |
363L00000X Nurse Practitioner (Licence: UT 5928365-4405) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NE 114138) | |
Enumeration Date | 2016-07-03 |
Last Update Date | 2025-10-02 |