| NPI | 1659912327 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10021163) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: CA 95175003) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2025-01-16 |