| NPI | 1386293561 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP6094553) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP6094553) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60945553) | |
| Enumeration Date | 2019-09-10 |
| Last Update Date | 2022-04-14 |