| NPI | 1205204799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201506290NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60333379) |
| 163W00000X Registered Nurse (Licence: OR 200540554RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61012022) | |
| Enumeration Date | 2015-09-14 |
| Last Update Date | 2023-11-13 |