| NPI | 1922573658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202108216NP-PP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60666821) |
| 163W00000X Registered Nurse (Licence: OR 202106913RN) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60993254) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA AP60993254) | |
| Enumeration Date | 2018-10-09 |
| Last Update Date | 2024-06-05 |