| NPI | 1861002602 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95016363) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00163350) |
| 163W00000X Registered Nurse (Licence: CA RN95186827) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61126856) | |
| Enumeration Date | 2020-08-06 |
| Last Update Date | 2022-01-31 |