| NPI | 1073837472 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1397A) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60533440) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 23667) | |
| 163W00000X Registered Nurse (Licence: ID N-29302) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: CA 806071) | |
| Enumeration Date | 2010-03-15 |
| Last Update Date | 2025-03-04 |