| NPI | 1235762030 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61040746) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61040746) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1042917) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 4861876) | |
| Enumeration Date | 2020-02-20 |
| Last Update Date | 2024-11-07 |