| 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 |