| NPI | 1164190799 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61501382) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 0000195553) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2360169) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 30318) | |
| Enumeration Date | 2021-08-30 |
| Last Update Date | 2024-03-21 |