| NPI | 1225453699 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61441844) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ F0113011) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ RN196906) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AK 1416) | |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP7319) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP7319) | |
| Enumeration Date | 2014-02-21 |
| Last Update Date | 2023-06-16 |