| NPI | 1285398156 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61363319) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 72615) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11016252) | |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2026-02-09 |