| NPI | 1205933884 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 200250091NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: OR 200650091 NP) |
| Enumeration Date | 2006-09-17 |
| Last Update Date | 2024-02-15 |