| NPI | 1356325229 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200850096NP-PP Psych) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 081001215N1FNPPP) |
| Enumeration Date | 2005-12-02 |
| Last Update Date | 2014-10-09 |