| NPI | 1952123549 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10050909) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61488661) |
| Enumeration Date | 2024-10-25 |
| Last Update Date | 2025-10-26 |