| NPI | 1437251261 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID NP-1161A) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30007127) |
| Enumeration Date | 2006-09-02 |
| Last Update Date | 2019-12-23 |