| NPI | 1124131776 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN9350196) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: FL ARNP9350196) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60919272) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60919272) | |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: PA SP009149) | |
| Enumeration Date | 2006-08-17 |
| Last Update Date | 2022-03-17 |