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 |