| NPI | 1285023754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA Rn00160582) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200542019RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA rn00160582) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OR 200542019rn) | |
| Enumeration Date | 2015-01-21 |
| Last Update Date | 2015-01-21 |