| NPI | 1700211513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201392160NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00129629) |
| 363LF0000X Nurse Practitioner, Family (Licence: OR 201392160NP-PP) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60411729) | |
| 163W00000X Registered Nurse (Licence: OR 096000794RN) | |
| Enumeration Date | 2013-09-11 |
| Last Update Date | 2025-01-31 |