| NPI | 1093166142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60864397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60864397) |
| 363LF0000X Nurse Practitioner, Family (Licence: TX 736381) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2023-02-23 |