NPI | 1144000332 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61548893) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN61050614) |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 201041551RN) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10024830) | |
Enumeration Date | 2023-10-04 |
Last Update Date | 2024-06-05 |