| NPI | 1649675034 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201408444NP-PP) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: OR 201043368RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX ap128306) | |
| Enumeration Date | 2014-10-28 |
| Last Update Date | 2015-06-19 |