| NPI | 1194472514 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202101558NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95174923) |
| Enumeration Date | 2022-03-05 |
| Last Update Date | 2022-04-15 |