| NPI | 1356866883 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner Family (Licence: IA 131872) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60793942) |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP60793942) | |
| Enumeration Date | 2017-08-05 |
| Last Update Date | 2022-10-13 |