| NPI | 1205274412 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61149406) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: MI 4704282116) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704282116) | |
| Enumeration Date | 2013-06-10 |
| Last Update Date | 2021-06-03 |