| NPI | 1225493455 |
|---|---|
| Former Name | ERIKA MOEN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60670978) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60272696) |
| 363L00000X Nurse Practitioner (Licence: WA AP60670978) | |
| Enumeration Date | 2015-12-14 |
| Last Update Date | 2023-12-04 |