NPI | 1083757082 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 080044569RN) |
Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 080044569RN) |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: OR 080044569RN) | |
Enumeration Date | 2007-02-15 |
Last Update Date | 2007-07-08 |