| NPI | 1326084567 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 20135004NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 200650033NP) |
| Enumeration Date | 2006-06-22 |
| Last Update Date | 2018-07-30 |