| NPI | 1750660767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI APRN 1492) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201042900RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: HI RN 72499) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201250111 NP) | |
| Enumeration Date | 2011-08-08 |
| Last Update Date | 2023-05-18 |