| NPI | 1316512932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61187485) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: WA RN60174932) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: OH 0040971) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0024195541) | |
| 363LF0000X Nurse Practitioner, Family (Licence: OH 0040971) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60174932) | |
| 363LF0000X Nurse Practitioner, Family (Licence: VA 0024195541) | |
| Enumeration Date | 2021-05-25 |
| Last Update Date | 2026-02-02 |