| NPI | 1225563190 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201807417NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61368679) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: OR 201607783RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61373216) | |
| Enumeration Date | 2017-04-27 |
| Last Update Date | 2023-01-11 |