| NPI | 1457711996 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 080044736RN) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 080044736RN) |
| Enumeration Date | 2016-02-25 |
| Last Update Date | 2019-08-13 |