| NPI | 1265836605 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201405678NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201243237RN) |
| 163W00000X Registered Nurse (Licence: WA RN61337493) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61337497) | |
| Enumeration Date | 2014-10-14 |
| Last Update Date | 2022-12-16 |