| NPI | 1497146286 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201501271NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61363195) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201501268NP-PP) | |
| Enumeration Date | 2015-02-15 |
| Last Update Date | 2025-02-12 |