| NPI | 1023326741 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201700657NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201050180) |
| 363LF0000X Nurse Practitioner, Family (Licence: WY 22604.1078) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 22604.1078) | |
| Enumeration Date | 2010-09-15 |
| Last Update Date | 2019-03-12 |