| NPI | 1720473937 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201506272NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201392846RN) |
| Enumeration Date | 2015-04-03 |
| Last Update Date | 2015-09-02 |