| NPI | 1174851695 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60291694) |
| Additional Taxonomies | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: OR 201710096NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8509) | |
| Enumeration Date | 2009-11-20 |
| Last Update Date | 2021-06-01 |