| NPI | 1447029541 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: OR 202203463RN) |
| Additional Taxonomies | 101YM0800X Counselor Mental Health (Licence: OR 24-QMHP-R-2562) |
| 163W00000X Registered Nurse (Licence: WA RN61273949) | |
| Enumeration Date | 2023-12-29 |
| Last Update Date | 2024-01-17 |