| NPI | 1124471974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR A004777) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61007036) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 132342) | |
| Enumeration Date | 2016-07-18 |
| Last Update Date | 2020-05-18 |