| NPI | 1114381415 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10000147) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200741244RN) |
| Enumeration Date | 2016-04-12 |
| Last Update Date | 2024-10-31 |