| NPI | 1861488868 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 200750042NP) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN00159464) |
| 363L00000X Nurse Practitioner (Licence: OR 200750042NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007010) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: OR 200750042NP) | |
| Enumeration Date | 2005-09-25 |
| Last Update Date | 2023-09-19 |