| NPI | 1720797657 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006239) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202113193RN) |
| 363L00000X Nurse Practitioner (Licence: OR 10006239) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 10006239) | |
| Enumeration Date | 2022-11-18 |
| Last Update Date | 2025-03-25 |