| NPI | 1710133764 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202007260NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 200850104NP) |
| Enumeration Date | 2008-08-11 |
| Last Update Date | 2020-08-26 |