| NPI | 1215209762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201910661NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61511463) |
| 163W00000X Registered Nurse (Licence: OR 201901568RN) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61511474) | |
| Enumeration Date | 2012-01-30 |
| Last Update Date | 2024-01-08 |