| NPI | 1548409048 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201801522NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201403088RN) |
| Enumeration Date | 2009-02-07 |
| Last Update Date | 2024-03-24 |