| NPI | 1821073081 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30004009) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 000039125N6 PMHNP-PP) |
| Enumeration Date | 2005-12-09 |
| Last Update Date | 2007-07-23 |