| NPI | 1013106509 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 099000201) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 099000201RN) |
| 171100000X Acupuncturist (Licence: OR AC00971) | |
| Enumeration Date | 2007-10-19 |
| Last Update Date | 2011-05-19 |