| NPI | 1194376293 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202102920NP-PP) |
| Additional Taxonomies | 363LW0102X Nurse Practitioner Women's Health (Licence: CT 8424) |
| 363LW0102X Nurse Practitioner Women's Health (Licence: OR 202102920NP-PP) | |
| Enumeration Date | 2019-09-20 |
| Last Update Date | 2023-10-16 |