| NPI | 1639554637 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201506273NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200940985RN) |
| Enumeration Date | 2015-07-20 |
| Last Update Date | 2018-03-02 |