| NPI | 1497584502 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61578716) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NY 405581) |
| 163W00000X Registered Nurse (Licence: NY 770011) | |
| 163W00000X Registered Nurse (Licence: WA 61578704) | |
| Enumeration Date | 2024-07-29 |
| Last Update Date | 2024-08-15 |