| NPI | 1376074427 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201806260NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201607321RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201806260N-PP) | |
| Enumeration Date | 2017-03-21 |
| Last Update Date | 2023-11-09 |