NPI | 1285023473 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202000539np-pp) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200641901rn) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60994439) | |
Enumeration Date | 2015-01-12 |
Last Update Date | 2021-03-09 |