NPI | 1073155313 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61686249) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 906207) |
Enumeration Date | 2019-10-08 |
Last Update Date | 2025-09-21 |