| NPI | 1447036280 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 70059690) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 95107144) |
| 163WC0200X Registered Nurse, Critical Care Medicine (Licence: FL RN9607100) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11043878) | |
| Enumeration Date | 2023-09-07 |
| Last Update Date | 2025-12-03 |