| NPI | 1902984297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 084053337N6) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 084053337N6-PMHNP-PP) |
| Enumeration Date | 2006-11-02 |
| Last Update Date | 2016-03-24 |