| NPI | 1215668066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10031777) |
| Additional Taxonomies | 163WP1700X Registered Nurse, Perinatal (Licence: OR 201505569RN) |
| Enumeration Date | 2022-06-22 |
| Last Update Date | 2024-10-11 |