| NPI | 1568829851 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201507467NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201392675RN) |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2023-05-04 |