| NPI | 1912949926 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: OR 201604311CNS-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201604311CNS-PP) |
| 364SP0807X Clinical Nurse Specialist, Psych/Mental Health, Child & Adolescent (Licence: MN R172938-0) | |
| Enumeration Date | 2006-06-12 |
| Last Update Date | 2023-08-07 |