| NPI | 1457657793 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150087NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200942615RN) |
| Enumeration Date | 2011-02-03 |
| Last Update Date | 2023-08-07 |