| NPI | 1205071248 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60853285) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: MN 6483) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 6483) | |
| Enumeration Date | 2008-12-04 |
| Last Update Date | 2023-06-12 |