| NPI | 1699727214 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10023633) |
| Additional Taxonomies | 364S00000X Clinical Nurse Specialist (Licence: TX AP109816) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: TX AP109816) | |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2024-04-11 |