| NPI | 1427065234 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 090007034N6) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 090007034N6) |
| 363LC1500X Nurse Practitioner Community Health (Licence: OR 090007034N6) | |
| Enumeration Date | 2006-08-02 |
| Last Update Date | 2010-02-26 |