NPI | 1437248481 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200950048NP) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200350026NP) |
Enumeration Date | 2006-10-11 |
Last Update Date | 2013-11-08 |