| NPI | 1649522178 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201501497NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201040098RN) |
| Enumeration Date | 2012-10-08 |
| Last Update Date | 2023-06-05 |