| NPI | 1164905451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60849404) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60849404) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95008887) | |
| Enumeration Date | 2018-09-12 |
| Last Update Date | 2024-03-20 |