| NPI | 1831278274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 093007244rn) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200150042np) |
| Enumeration Date | 2006-11-05 |
| Last Update Date | 2023-03-07 |