| NPI | 1548710551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60669354) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP60669354) |
| 363L00000X Nurse Practitioner (Licence: WA AP60669354) | |
| Enumeration Date | 2016-10-13 |
| Last Update Date | 2023-09-26 |