| NPI | 1275869661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10030415) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 200742260RN) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 200742260RN) | |
| Enumeration Date | 2009-10-20 |
| Last Update Date | 2024-07-28 |