NPI | 1063957835 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61219445) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60375502) |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WA 60375502) | |
163WP0200X Registered Nurse, Pediatrics (Licence: WA 60375502) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA 60375502) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA 60375502) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA 60375502) | |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA 60375502) | |
Enumeration Date | 2017-01-03 |
Last Update Date | 2021-12-15 |