| NPI | 1982047825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201901741NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP122687) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60938616) | |
| Enumeration Date | 2013-04-10 |
| Last Update Date | 2024-03-13 |