| NPI | 1750902383 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61358869) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60306746) |
| 363L00000X Nurse Practitioner (Licence: KS 53-81583-122) | |
| Enumeration Date | 2020-05-05 |
| Last Update Date | 2022-09-28 |