| NPI | 1164879086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN60650537) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201803619RN) |
| Enumeration Date | 2016-05-20 |
| Last Update Date | 2019-10-10 |