NPI | 1336623438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0200X Nurse Practitioner, Pediatrics (Licence: WA AP61435343) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60330219) |
163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WA RN60330219) | |
163WP0200X Registered Nurse, Pediatrics (Licence: WA RN60330219) | |
163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WA RN60330219) | |
163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60330219) | |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN60330219) | |
163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN60330219) | |
Enumeration Date | 2018-09-24 |
Last Update Date | 2023-05-15 |