| NPI | 1174119895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10009410APRN-NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: FL 9551647) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11010979) | |
| Enumeration Date | 2020-12-16 |
| Last Update Date | 2023-12-28 |