| NPI | 1780213983 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10016784) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner, Acute Care (Licence: TX AP145679) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 75202) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145679) | |
| Enumeration Date | 2020-04-08 |
| Last Update Date | 2025-02-25 |