| NPI | 1659786143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61098523) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA ap61098523) |
| 363LG0600X Nurse Practitioner, Gerontology (Licence: GA RN183874) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: GA RN183874) | |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61098523) | |
| Enumeration Date | 2014-06-24 |
| Last Update Date | 2021-03-22 |