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