| NPI | 1336483189 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 246321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60417674) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60417674) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NH 063659) | |
| Enumeration Date | 2012-11-17 |
| Last Update Date | 2024-12-17 |