NPI | 1750046157 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP2300X Nurse Practitioner, Primary Care (Licence: WA 61165549) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60244982) |
163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA 2021085251) | |
Enumeration Date | 2021-11-02 |
Last Update Date | 2024-02-05 |