| NPI | 1811997935 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201709332NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: HI 1028) |
| 363LF0000X Nurse Practitioner, Family (Licence: CO 5346) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 7086) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 5346) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: HI 1028) | |
| Enumeration Date | 2005-07-29 |
| Last Update Date | 2023-03-08 |