| NPI | 1700116191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202110574NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 757351) |
| Enumeration Date | 2010-01-06 |
| Last Update Date | 2024-10-07 |