| NPI | 1194575126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201807240RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 24-QMHP-R-2651) |
| Enumeration Date | 2024-03-25 |
| Last Update Date | 2024-03-25 |