| NPI | 1851897979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201906727NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201705164RN) |
| Enumeration Date | 2018-04-05 |
| Last Update Date | 2020-06-18 |