| NPI | 1346650272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10052917) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: UT 8953105-3102) |
| Enumeration Date | 2014-04-30 |
| Last Update Date | 2026-02-17 |