| NPI | 1508697392 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70016697) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 36057) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: DE L8-0010646) | |
| Enumeration Date | 2024-08-12 |
| Last Update Date | 2025-11-17 |