| NPI | 1477997575 |
|---|---|
| Former Name | JANETTE MARIE LANE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201391435NP-PP) |
| Additional Taxonomies | 101YM0800X Counselor, Mental Health |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 089003148RN) | |
| Enumeration Date | 2013-04-19 |
| Last Update Date | 2014-05-21 |