| NPI | 1194348508 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61224665) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1036826) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 2020110760NP-PP) | |
| Enumeration Date | 2020-05-20 |
| Last Update Date | 2024-04-25 |