| NPI | 1114643541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10004919) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95301644) |
| Enumeration Date | 2022-10-18 |
| Last Update Date | 2023-11-15 |