| NPI | 1235547522 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61159445) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TX AP131040) |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95006246) | |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP61159445) | |
| Enumeration Date | 2014-07-30 |
| Last Update Date | 2023-03-07 |