| NPI | 1043090889 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10015182) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10015182) |
| 163W00000X Registered Nurse (Licence: OK R0089145) | |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OK 214811) | |
| Enumeration Date | 2023-09-29 |
| Last Update Date | 2023-09-29 |