| NPI | 1427568492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60863671) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 200942189RN) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60094212) | |
| Enumeration Date | 2017-10-04 |
| Last Update Date | 2021-09-29 |