| NPI | 1386860930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200750056NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 081001521RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: ID N-15722) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-847A) | |
| Enumeration Date | 2007-04-18 |
| Last Update Date | 2009-10-06 |