| NPI | 1841078797 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10015659) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: OR 10015659) |
| Enumeration Date | 2023-09-20 |
| Last Update Date | 2026-06-03 |