| NPI | 1710300207 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201141831RN) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201141831RN) |
| Enumeration Date | 2014-02-04 |
| Last Update Date | 2016-01-22 |