| NPI | 1649786740 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60775667) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60469055) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60775667) | |
| Enumeration Date | 2017-12-27 |
| Last Update Date | 2018-04-09 |