| NPI | 1144610395 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: CA 95001632) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202112680NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202201165NP-PP) | |
| Enumeration Date | 2015-01-27 |
| Last Update Date | 2022-04-12 |