| NPI | 1528845005 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10016531) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61109459) |
| 163W00000X Registered Nurse (Licence: OR 201507384RN) | |
| Enumeration Date | 2023-09-11 |
| Last Update Date | 2023-10-09 |