| NPI | 1114495157 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60914158) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60914158) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60914158) | |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: WA AP60914158) | |
| Enumeration Date | 2018-11-07 |
| Last Update Date | 2023-03-06 |