| NPI | 1144620295 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201902719NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 201705273NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: IL 209011748) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201705273NP-PP) | |
| Enumeration Date | 2014-08-26 |
| Last Update Date | 2021-09-04 |