| NPI | 1487435384 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10010788) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: OR 10010788) |
| Enumeration Date | 2023-10-09 |
| Last Update Date | 2026-07-29 |