| NPI | 1649452673 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200750099NP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 200542264RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN234013) | |
| Enumeration Date | 2007-11-30 |
| Last Update Date | 2019-02-27 |