| NPI | 1952631764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10028470) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: OR 201702656RN) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 201702656RN) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201702656RN) | |
| Enumeration Date | 2009-12-30 |
| Last Update Date | 2024-08-03 |