| NPI | 1245707272 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61298165) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MD R187754) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R187754) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61298165) | |
| Enumeration Date | 2018-10-29 |
| Last Update Date | 2024-03-25 |