| NPI | 1285085407 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60914404) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992582-NP) |
| 163W00000X Registered Nurse (Licence: MA rn2303881) | |
| 163W00000X Registered Nurse (Licence: CT 121495) | |
| Enumeration Date | 2016-06-29 |
| Last Update Date | 2019-01-21 |