| NPI | 1316151368 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61190903) |
| Additional Taxonomies | 1041C0700X Social Worker, Clinical (Licence: NM M-4129) |
| 363L00000X Nurse Practitioner (Licence: NM CNP-03537) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61190903) | |
| Enumeration Date | 2007-05-09 |
| Last Update Date | 2022-08-31 |