| NPI | 1467956391 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60838566) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60461421) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202011283NP-PP) | |
| Enumeration Date | 2018-03-23 |
| Last Update Date | 2024-04-02 |