| NPI | 1083317093 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP61402294) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11023613) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IL 209029716) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-10-15 |