| NPI | 1134697964 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61472842) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AK 198259) |
| 163W00000X Registered Nurse (Licence: AK NURR37637) | |
| Enumeration Date | 2018-11-09 |
| Last Update Date | 2024-02-29 |