| NPI | 1821372483 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61044400) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: OR 201142866RN) |
| Enumeration Date | 2011-09-30 |
| Last Update Date | 2021-08-20 |