| NPI | 1336843143 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R237303) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN1055710) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DC NP1055710) | |
| Enumeration Date | 2023-03-27 |
| Last Update Date | 2024-10-30 |