| NPI | 1942395884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201607430NPPP) |
| Additional Taxonomies | 176B00000X Midwife (Licence: CA 1725) |
| Enumeration Date | 2006-10-04 |
| Last Update Date | 2024-04-25 |