| NPI | 1689417966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10027446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 48582) |
| 163W00000X Registered Nurse (Licence: OR 10027446) | |
| 163W00000X Registered Nurse (Licence: CA 753472) | |
| Enumeration Date | 2024-06-14 |
| Last Update Date | 2024-11-05 |