| NPI | 1043648140 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 18546) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 18546) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61264739) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2330590) | |
| Enumeration Date | 2013-10-29 |
| Last Update Date | 2024-04-26 |