NPI | 1891405841 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10000724) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10000724) |
Enumeration Date | 2022-11-30 |
Last Update Date | 2025-09-12 |