| NPI | 1164597134 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 201901089RN) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health (Licence: OR 201901089RN) |
| 163W00000X Registered Nurse (Licence: CA RN643639) | |
| Enumeration Date | 2006-11-22 |
| Last Update Date | 2019-11-22 |