| NPI | 1235219726 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: OR 201050124NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 097006687N6PMHNP-PP) |
| Enumeration Date | 2006-10-17 |
| Last Update Date | 2019-05-15 |