| NPI | 1588065221 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60500064) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 110626) |
| 163W00000X Registered Nurse (Licence: NY 670508) | |
| 163W00000X Registered Nurse (Licence: WA RN60485980) | |
| Enumeration Date | 2014-09-12 |
| Last Update Date | 2014-09-12 |