| NPI | 1366974966 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61050713) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: AZ TAP9952) |
| Enumeration Date | 2017-04-02 |
| Last Update Date | 2023-07-05 |