| NPI | 1245343870 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202111832NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA NP10774) |
| 363L00000X Nurse Practitioner (Licence: OR 200950013NP) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2024-01-24 |