NPI | 1548482805 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005946) |
Additional Taxonomies | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: OR 200170002CNS) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200950159NP) | |
Enumeration Date | 2007-05-03 |
Last Update Date | 2013-06-26 |