| NPI | 1003282310 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201505905NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: NM RN83115) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11009288) | |
| Enumeration Date | 2015-08-20 |
| Last Update Date | 2024-03-20 |