NPI | 1588264923 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70019152) |
Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: OK 104868) |
Enumeration Date | 2020-10-26 |
Last Update Date | 2025-07-14 |