NPI | 1497263438 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA PA61018533) |
Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61018533) |
Enumeration Date | 2018-01-11 |
Last Update Date | 2025-06-27 |