| NPI | 1386273217 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61061360) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61061360) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020008424) | |
| Enumeration Date | 2020-04-03 |
| Last Update Date | 2022-11-11 |