NPI | 1811354871 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201706246NP-PP) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201507599RN) |
Enumeration Date | 2016-01-21 |
Last Update Date | 2019-05-15 |