| NPI | 1619036761 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201601260NP-PP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201601260NP-PP) |
| Enumeration Date | 2006-12-06 |
| Last Update Date | 2024-10-08 |