| NPI | 1720402142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61016252) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP61016252) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: AK 216470) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 216470) | |
| Enumeration Date | 2014-02-05 |
| Last Update Date | 2024-03-21 |