| NPI | 1144789777 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202011281NP-PP) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: OR 201400048RN) |
| Enumeration Date | 2019-03-13 |
| Last Update Date | 2020-12-23 |