| NPI | 1710270673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 235007) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201140479RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201608197NP-PP) | |
| Enumeration Date | 2011-05-25 |
| Last Update Date | 2023-08-23 |