| 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 |