| NPI | 1336775550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN260961) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61286855) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015880) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166718) | |
| Enumeration Date | 2020-03-19 |
| Last Update Date | 2024-04-02 |