| NPI | 1154602746 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201600527NP) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: OR 099000570RN) |
| Enumeration Date | 2011-09-08 |
| Last Update Date | 2020-06-17 |