| NPI | 1588235642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202107430NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202107341RN) |
| 163W00000X Registered Nurse (Licence: NC 264609) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5014564) | |
| Enumeration Date | 2021-07-08 |
| Last Update Date | 2023-08-16 |