| NPI | 1275849994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201050203NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201042058RN) |
| Enumeration Date | 2010-08-19 |
| Last Update Date | 2025-01-07 |