| NPI | 1275994725 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61020697) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001210194) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 2015006095) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP8905) | |
| Enumeration Date | 2016-03-11 |
| Last Update Date | 2021-12-01 |