| NPI | 1215146352 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 20831) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN223241) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60909330) | |
| Enumeration Date | 2007-05-22 |
| Last Update Date | 2022-02-14 |