| NPI | 1801202528 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201403887NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00138549) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60559831) | |
| Enumeration Date | 2014-07-02 |
| Last Update Date | 2023-04-26 |