| NPI | 1790054831 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201502876NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201502876NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ap61239945) | |
| Enumeration Date | 2011-12-19 |
| Last Update Date | 2024-01-24 |