| NPI | 1225045354 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: OR 201802846NP-PP) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: NV APN001192) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201802846NP-PP) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2024-06-14 |