| NPI | 1093572174 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006696) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10006696) |
| Enumeration Date | 2024-03-05 |
| Last Update Date | 2025-03-04 |