| NPI | 1770021099 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202210253NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95021122) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 202210253NP-PP) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 95021122) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MA RN2296654) | |
| Enumeration Date | 2017-02-07 |
| Last Update Date | 2024-01-31 |