| NPI | 1154576197 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60975928) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: NC 196483) |
| 363LF0000X Nurse Practitioner, Family (Licence: MT APRN-LIC-127603) | |
| 363LF0000X Nurse Practitioner, Family (Licence: NC 196483) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 196483) | |
| Enumeration Date | 2008-11-18 |
| Last Update Date | 2020-09-03 |