| NPI | 1003970583 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 082012779N6) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 082012779N6) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 082012779N6) | |
| 363LC1500X Nurse Practitioner, Community Health (Licence: OR 082012779N6) | |
| Enumeration Date | 2006-12-20 |
| Last Update Date | 2008-04-17 |