NPI | 1780202564 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61068452) |
Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: OR 202010613NP-PP) |
363LF0000X Nurse Practitioner, Family (Licence: WA AP61068452) | |
Enumeration Date | 2020-07-08 |
Last Update Date | 2024-04-17 |