| NPI | 1659763951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60533427) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60533427) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60533427) | |
| 207Q00000X Family Medicine (Licence: ID NP59009) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2023-06-30 |