| NPI | 1669886578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 202206897NP-PP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: VA 0024173593) |
| 367A00000X Advanced Practice Midwife (Licence: VA 0024173593) | |
| Enumeration Date | 2014-06-18 |
| Last Update Date | 2024-06-20 |