| NPI | 1235818550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 2025000754) |
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OR 201804006RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70040708) | |
| Enumeration Date | 2023-07-13 |
| Last Update Date | 2026-02-11 |