| NPI | 1689283947 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61185664) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202213702NP-PP) |
| 163W00000X Registered Nurse (Licence: FL 9276527) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-09-22 |