| NPI | 1093743866 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 085077937N6) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 085077937RN) |
| 363L00000X Nurse Practitioner (Licence: OR 085077937N6) | |
| Enumeration Date | 2006-06-29 |
| Last Update Date | 2013-08-20 |