| NPI | 1073939211 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201504586NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201393260RN) |
| Enumeration Date | 2014-03-12 |
| Last Update Date | 2023-09-06 |