| NPI | 1043827975 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202007637NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202007637NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95026907) | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2023-11-02 |