| NPI | 1164973079 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61046397) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61046397) |
| 363LF0000X Nurse Practitioner, Family (Licence: FL 2825082) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 2019077090) | |
| Enumeration Date | 2016-10-17 |
| Last Update Date | 2024-04-29 |