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 |