| NPI | 1265986400 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA 60883228) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: TN 0000021328) |
| Enumeration Date | 2016-08-04 |
| Last Update Date | 2022-11-04 |