| NPI | 1881027241 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202201642NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: VT 1010095243) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 10935112) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID 58380) | |
| Enumeration Date | 2013-08-20 |
| Last Update Date | 2022-04-25 |