| NPI | 1902169196 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10045031) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95025134) |
| 163W00000X Registered Nurse (Licence: CA 788779) | |
| Enumeration Date | 2012-06-21 |
| Last Update Date | 2026-01-19 |