NPI | 1669913844 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60730570) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60730570) |
363LF0000X Nurse Practitioner, Family (Licence: OR 201701875NP-PP) | |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201908259NP-PP) | |
Enumeration Date | 2017-03-20 |
Last Update Date | 2023-02-09 |