| NPI | 1871649723 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: CA 329150) |
| Additional Taxonomies | 106H00000X Marriage & Family Therapist (Licence: WA 2319) |
| 106H00000X Marriage & Family Therapist (Licence: CA 39940) | |
| 163W00000X Registered Nurse (Licence: WA 162924) | |
| Enumeration Date | 2007-01-25 |
| Last Update Date | 2018-01-24 |