| NPI | 1801699160 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10021145) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61681818) |
| Enumeration Date | 2025-03-31 |
| Last Update Date | 2025-09-26 |