| NPI | 1447220801 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201709886NP-PP) |
| Additional Taxonomies | 101Y00000X Counselor |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP 189-A) | |
| 363LX0001X Nurse Practitioner, Obstetrics & Gynecology (Licence: ID NP 189-A) | |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2022-04-05 |