| NPI | 1063067908 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201907062NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201404469RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201404469RN) | |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2019-08-13 |