| NPI | 1962279596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61648446) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61318937) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10038388) | |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2023-12-05 |
| Last Update Date | 2025-03-17 |