| NPI | 1467630210 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61384456) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: TX 912619) |
| 164W00000X Licensed Practical Nurse (Licence: OH 122119) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1085590) | |
| Enumeration Date | 2008-02-04 |
| Last Update Date | 2023-07-17 |