| NPI | 1457367690 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 093006731N6) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: OR 093006731N6) |
| Enumeration Date | 2006-07-31 |
| Last Update Date | 2007-07-08 |