| NPI | 1174038277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201908638NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201708294RN) |
| 363L00000X Nurse Practitioner (Licence: OR 201908638NP-PP) | |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2023-06-08 |