| NPI | 1043076656 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10045956) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WY 22103) |
| 163WH0200X Registered Nurse, Home Health (Licence: WY 22103) | |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WY 22103) | |
| 174H00000X Health Educator (Licence: WY 22103) | |
| Enumeration Date | 2024-02-22 |
| Last Update Date | 2025-06-27 |