| NPI | 1851361281 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA AP30005557) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 084060674N6) |
| Enumeration Date | 2006-01-26 |
| Last Update Date | 2007-07-08 |