| NPI | 1992358493 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202008402NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201902562RN) |
| 171M00000X Case Manager/Care Coordinator | |
| Enumeration Date | 2019-07-23 |
| Last Update Date | 2020-09-23 |