| NPI | 1346653102 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: OR 201403235NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201909238NP-PP) |
| Enumeration Date | 2014-06-09 |
| Last Update Date | 2022-10-24 |