| NPI | 1588272389 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202006871NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201608009RN) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61113620) | |
| 163W00000X Registered Nurse (Licence: WA RN61111255) | |
| Enumeration Date | 2020-07-17 |
| Last Update Date | 2021-06-15 |