NPI | 1720862998 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61467880) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61467880) |
Enumeration Date | 2023-08-21 |
Last Update Date | 2023-12-15 |