| NPI | 1114013919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 089006463RN) |
| Additional Taxonomies | 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR MS0747088) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 089006463N6PMHNP-PP) | |
| Enumeration Date | 2006-10-05 |
| Last Update Date | 2007-07-09 |