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 |