NPI | 1013656834 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70028955-NP) |
Additional Taxonomies | 172V00000X Community Health Worker |
163W00000X Registered Nurse (Licence: OR 202208091RN) | |
Enumeration Date | 2022-05-31 |
Last Update Date | 2025-08-01 |