NPI | 1316671654 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN60954329) |
Additional Taxonomies | 163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60954329) |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA RN60954329) | |
Enumeration Date | 2022-07-12 |
Last Update Date | 2022-07-12 |