| NPI | 1720861255 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10015445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201501607RN) |
| Enumeration Date | 2023-08-17 |
| Last Update Date | 2023-11-17 |