NPI | 1720723851 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202211731NP-PP) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 930386823) |
Enumeration Date | 2022-05-03 |
Last Update Date | 2022-10-24 |