| NPI | 1164074456 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10031837) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: CA NP95011901) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61632738) | |
| Enumeration Date | 2019-07-16 |
| Last Update Date | 2026-04-09 |