NPI | 1043090889 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10015182) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 10015182) |
163W00000X Registered Nurse (Licence: OK R0089145) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OK 214811) | |
Enumeration Date | 2023-09-29 |
Last Update Date | 2023-09-29 |