| NPI | 1710531371 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202007634NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA RN95172241) |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2020-09-03 |