| NPI | 1154806040 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202201524NP-PP) |
| Additional Taxonomies | 176B00000X Midwife (Licence: VA 0024176264) |
| Enumeration Date | 2018-09-26 |
| Last Update Date | 2022-08-02 |