| NPI | 1326605734 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 202007246NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 202007246np-pp) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201809273RN) | |
| Enumeration Date | 2019-05-21 |
| Last Update Date | 2021-10-13 |