| NPI | 1750318788 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60031978) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200850041NP) |
| 364SG0600X Clinical Nurse Specialist, Gerontology (Licence: OR 200470003) | |
| Enumeration Date | 2006-06-26 |
| Last Update Date | 2020-07-23 |