| NPI | 1780914788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202211131NP-PP) |
| Additional Taxonomies | 367500000X Nurse Anesthetist, Certified Registered (Licence: OK 98232) |
| 367500000X Nurse Anesthetist, Certified Registered (Licence: OR 201060015CRNA) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: OR 095000250) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2023-01-23 |