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 |