| NPI | 1255934907 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP002480) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R033051) |
| 163W00000X Registered Nurse (Licence: WA N261366711) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N361369739) | |
| Enumeration Date | 2020-11-17 |
| Last Update Date | 2022-11-13 |