| NPI | 1881885895 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201050179NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200843072RN) |
| 363LF0000X Nurse Practitioner Family (Licence: OR 2011017245) | |
| Enumeration Date | 2007-08-05 |
| Last Update Date | 2021-06-22 |