| NPI | 1356358477 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10006006) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 2023150476) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: NM 0375722) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2025-12-03 |