| NPI | 1578945473 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202106713NP-PP) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: OR 20124178RN) |
| Enumeration Date | 2015-06-26 |
| Last Update Date | 2024-03-12 |