| NPI | 1407528300 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 24382779) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202111688RN) |
| Enumeration Date | 2021-09-29 |
| Last Update Date | 2024-07-21 |