| NPI | 1093745267 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61163633) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000007934) |
| Enumeration Date | 2006-07-04 |
| Last Update Date | 2021-08-13 |