| NPI | 1669025854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202011104NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2376497) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VT 101.013701) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 81772) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61103832) | |
| Enumeration Date | 2019-07-17 |
| Last Update Date | 2024-05-21 |