| NPI | 1942648308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006630) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 0094000241RN) |
| Enumeration Date | 2013-06-07 |
| Last Update Date | 2023-04-25 |