| NPI | 1912015546 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: OR 000038564N1 FNP-PP) |
| Additional Taxonomies | 103TC0700X Psychologist, Clinical (Licence: OR 915) |
| Enumeration Date | 2006-08-25 |
| Last Update Date | 2021-12-22 |