| NPI | 1093564114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61631013) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ID 62087) |
| 163W00000X Registered Nurse (Licence: TX 736843) | |
| 163W00000X Registered Nurse (Licence: WA RN60443226) | |
| Enumeration Date | 2024-05-13 |
| Last Update Date | 2024-12-07 |