| NPI | 1326253337 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner, Adult Health (Licence: FL 3538) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner, Adult Health (Licence: WA AP60609520) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 63181-030) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP9458523) | |
| Enumeration Date | 2007-05-12 |
| Last Update Date | 2019-05-01 |