| NPI | 1770851750 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201400922NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 178665) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK NURU1271) | |
| Enumeration Date | 2011-12-06 |
| Last Update Date | 2016-12-27 |