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 |