| NPI | 1568836492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60539967) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: OR 200942392RN) |
| Enumeration Date | 2015-11-16 |
| Last Update Date | 2023-11-28 |