| NPI | 1558651513 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60635951) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9263135) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60635951) | |
| Enumeration Date | 2011-04-12 |
| Last Update Date | 2024-10-24 |