| NPI | 1063881274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61433603) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: NC 5007887) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5007887) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2023-10-13 |