| NPI | 1780925511 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201350011NP) |
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: OR 201350011NP) |
| Enumeration Date | 2013-03-04 |
| Last Update Date | 2025-05-20 |