| NPI | 1992321137 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61311630) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61311630) |
| 363LF0000X Nurse Practitioner, Family (Licence: UT 8590046-8900) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: UT 8590046-3102) | |
| Enumeration Date | 2020-06-23 |
| Last Update Date | 2023-04-20 |