| NPI | 1013675883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61301494) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 70213) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2304305) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1058998) | |
| Enumeration Date | 2021-11-29 |
| Last Update Date | 2023-06-06 |