| NPI | 1396103651 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61102362) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NV 836368) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: CA 95003808) | |
| 363LF0000X Nurse Practitioner, Family (Licence: CA 95003808) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 95003808) | |
| Enumeration Date | 2016-02-02 |
| Last Update Date | 2021-12-22 |