| NPI | 1720255854 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200450084 NP) |
| Additional Taxonomies | 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OR 200470021CNS) |
| Enumeration Date | 2008-05-08 |
| Last Update Date | 2020-09-30 |