| NPI | 1750990560 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10029026) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 201705800RN) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 201705800R) | |
| Enumeration Date | 2020-07-28 |
| Last Update Date | 2024-07-29 |