| NPI | 1679092704 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60781549) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60781549) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WA RN60673768) | |
| Enumeration Date | 2017-09-09 |
| Last Update Date | 2021-04-30 |