| NPI | 1578712568 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201150122NP) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201060027 CRNA) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 19687) | |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: CA 1669) | |
| Enumeration Date | 2008-09-15 |
| Last Update Date | 2013-06-20 |