| NPI | 1114532538 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704264393) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: KY 1144729) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61104670) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.61104670-NP) | |
| Enumeration Date | 2020-09-11 |
| Last Update Date | 2023-01-10 |