| NPI | 1730549122 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC1500X Registered Nurse Community Health (Licence: OR 093000392RN) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health |
| 163W00000X Registered Nurse (Licence: OR 093000392RN) | |
| Enumeration Date | 2016-02-29 |
| Last Update Date | 2018-03-17 |