| NPI | 1417626490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61489940) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA RN285551) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO C-APN.0101357-C-NP) | |
| Enumeration Date | 2021-09-13 |
| Last Update Date | 2024-05-12 |