NPI | 1679724819 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200850133NP PMHNP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200642765RN) |
Enumeration Date | 2008-10-07 |
Last Update Date | 2008-10-07 |