| NPI | 1144699224 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60949936) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: OR 201507037NP-PP) |
| Enumeration Date | 2015-09-18 |
| Last Update Date | 2023-11-03 |