| NPI | 1336240902 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007487) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP30007487) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30007487) | |
| Enumeration Date | 2006-09-26 |
| Last Update Date | 2021-09-21 |