| NPI | 1114274859 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201403159NP-PP) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60297379) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60297379) | |
| Enumeration Date | 2012-08-13 |
| Last Update Date | 2024-01-20 |