| NPI | 1366972077 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61436734) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00160629) |
| 163WW0101X Registered Nurse, Women's Health Care, Ambulatory (Licence: WA RN00160629) | |
| Enumeration Date | 2017-06-14 |
| Last Update Date | 2023-05-08 |