| NPI | 1811305766 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61539786) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: KY 3008664) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G167900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 12023) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KY 3008664) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61539786) | |
| Enumeration Date | 2014-07-23 |
| Last Update Date | 2024-06-26 |