NPI | 1568876399 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201507677NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201392863RN) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201392863RN) | |
Enumeration Date | 2014-06-19 |
Last Update Date | 2015-10-07 |