| NPI | 1912471228 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202003436NP-PP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201140723RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 401190) | |
| Enumeration Date | 2019-01-20 |
| Last Update Date | 2024-05-15 |