| NPI | 1154600724 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 20115009NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201150090NP) |
| Enumeration Date | 2011-08-12 |
| Last Update Date | 2025-05-12 |