| NPI | 1518133487 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202113001NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WV 57340) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 202113001NP-PP) | |
| Enumeration Date | 2008-05-01 |
| Last Update Date | 2023-08-31 |