| NPI | 1265020002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61539393) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL APRN11011339) |
| 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: FL RN9278408) | |
| Enumeration Date | 2021-01-07 |
| Last Update Date | 2024-07-08 |