NPI | 1790154433 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60602332) |
Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60602332) |
Enumeration Date | 2015-09-23 |
Last Update Date | 2022-08-03 |