| NPI | 1891978763 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 201250024) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007876) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201250025NP) | |
| Enumeration Date | 2007-12-13 |
| Last Update Date | 2012-06-22 |