| NPI | 1811887573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10044599) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 320424) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61676052) | |
| Enumeration Date | 2025-07-05 |
| Last Update Date | 2025-10-21 |