| NPI | 1588941397 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60556930) |
| Additional Taxonomies | 363LP0200X Nurse Practitioner, Pediatrics (Licence: OR 201150136NP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201604306NP-PP) | |
| Enumeration Date | 2011-11-08 |
| Last Update Date | 2019-01-07 |