| NPI | 1710378591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201407674NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201405902RN) |
| Enumeration Date | 2015-02-14 |
| Last Update Date | 2015-02-14 |