| NPI | 1134440829 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60146681) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N360151780) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 633437) | |
| Enumeration Date | 2010-06-16 |
| Last Update Date | 2021-12-01 |