| NPI | 1497786735 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: OR 077038688N2 PNP PP) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP30006393) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201150141NP) | |
| Enumeration Date | 2006-07-05 |
| Last Update Date | 2011-10-06 |