NPI | 1710677208 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61444092) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 230507) |
163W00000X Registered Nurse (Licence: WA RN60754136) | |
363L00000X Nurse Practitioner (Licence: WA AP61444092) | |
Enumeration Date | 2023-05-09 |
Last Update Date | 2025-02-03 |