| NPI | 1184098576 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60886598) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: MA RN2283375) |
| Enumeration Date | 2015-11-23 |
| Last Update Date | 2020-01-28 |