| NPI | 1295899151 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200850084NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 093000261N1) |
| 364SF0001X Clinical Nurse Specialist, Family Health (Licence: OR 093000261RN) | |
| Enumeration Date | 2006-12-21 |
| Last Update Date | 2009-08-04 |