| NPI | 1679958300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 075088-23) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202001101NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ME CNP151054) | |
| Enumeration Date | 2015-07-23 |
| Last Update Date | 2021-08-14 |