| NPI | 1386215846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61195603) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 202112349NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 259602) | |
| Enumeration Date | 2021-07-06 |
| Last Update Date | 2021-11-01 |