NPI | 1235818550 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 201804006RN) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 2025000754) |
Enumeration Date | 2023-07-13 |
Last Update Date | 2025-02-25 |