| NPI | 1760845853 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61193529) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201507213RN) |
| Enumeration Date | 2016-04-05 |
| Last Update Date | 2021-09-16 |