| NPI | 1679581714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200250134NP) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 200250134NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202011103NP-PP) | |
| 367A00000X Advanced Practice Midwife (Licence: OR 200550173NP) | |
| Enumeration Date | 2006-08-04 |
| Last Update Date | 2022-11-08 |