| NPI | 1124023932 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60720782) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN APN0000005295) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60720782) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2017-06-14 |