| NPI | 1801353297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201906508NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201708298RN) |
| Enumeration Date | 2019-02-21 |
| Last Update Date | 2019-08-26 |