| NPI | 1124682232 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61115386) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201500119RN) |
| 163W00000X Registered Nurse (Licence: WA RN61087806) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202005885NP-PP) | |
| Enumeration Date | 2019-04-24 |
| Last Update Date | 2022-08-04 |