| NPI | 1457078958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10015917) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 201042760RN) |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-09-20 |