| NPI | 1275897043 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60687619) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: VT 101-0086545) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP60687619) | |
| Enumeration Date | 2012-06-27 |
| Last Update Date | 2022-08-16 |