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 |