NPI | 1164913893 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60850885) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60850885) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP60850885) | |
Enumeration Date | 2018-05-29 |
Last Update Date | 2022-06-28 |