| NPI | 1023248846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201460166NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: WA AP60113467) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200950091) | |
| Enumeration Date | 2009-07-15 |
| Last Update Date | 2018-11-19 |