| NPI | 1740821453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201908534NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 201908534NP-PP) |
| Enumeration Date | 2019-10-03 |
| Last Update Date | 2023-12-04 |