| NPI | 1215264833 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202105879NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 202103799RN) |
| 363LF0000X Nurse Practitioner, Family (Licence: OH coa11127np) | |
| Enumeration Date | 2009-11-04 |
| Last Update Date | 2024-06-20 |