| NPI | 1831853100 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61221885) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP61221885) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 75473) | |
| Enumeration Date | 2021-10-23 |
| Last Update Date | 2024-06-24 |