| NPI | 1306396296 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10043230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201505824RN) |
| Enumeration Date | 2016-10-04 |
| Last Update Date | 2025-09-30 |