| NPI | 1275982324 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202201834NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202201834NP-PP) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9762) | |
| Enumeration Date | 2016-06-09 |
| Last Update Date | 2024-06-25 |