| NPI | 1093264053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201806645NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201607715RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60884355) | |
| Enumeration Date | 2016-09-30 |
| Last Update Date | 2020-03-07 |