| NPI | 1942634332 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201507751NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1620461) |
| 163W00000X Registered Nurse (Licence: OR 201341305RN) | |
| Enumeration Date | 2013-08-21 |
| Last Update Date | 2016-12-08 |