| NPI | 1659801785 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201704039NP-PP) |
| Additional Taxonomies | 363LA2100X Nurse Practitioner Acute Care (Licence: OR 201704040NP-PP) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 201704039NP-PP) | |
| Enumeration Date | 2017-06-12 |
| Last Update Date | 2024-04-18 |