| NPI | 1144981507 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 10018639) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 202009730RN) |
| Enumeration Date | 2022-01-06 |
| Last Update Date | 2023-12-06 |