| NPI | 1841681574 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201405194RN) | 
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201405194RN) | 
| Enumeration Date | 2015-02-17 | 
| Last Update Date | 2015-02-25 |