| NPI | 1881173979 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60888078) |
| Additional Taxonomies | 207Q00000X Family Medicine (Licence: WA AP60888078) |
| 363L00000X Nurse Practitioner (Licence: WA AP60888078) | |
| Enumeration Date | 2018-08-09 |
| Last Update Date | 2024-11-06 |