| NPI | 1780107003 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61366274) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: AL 1-119734) |
| 363LF0000X Nurse Practitioner, Family (Licence: AL 1-119734) | |
| Enumeration Date | 2017-07-18 |
| Last Update Date | 2024-06-12 |