| NPI | 1265054076 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24317) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 228530) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61293119) | |
| Enumeration Date | 2020-05-14 |
| Last Update Date | 2022-08-14 |