NPI | 1639158223 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006358) |
Additional Taxonomies | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA AP30006358) |
Enumeration Date | 2006-01-11 |
Last Update Date | 2016-06-13 |