| 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 |