| NPI | 1740736156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201701173NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 210180) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 21994) | |
| 163W00000X Registered Nurse (Licence: OR 201701172RN) | |
| Enumeration Date | 2016-08-27 |
| Last Update Date | 2017-03-03 |