| NPI | 1588893978 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1012284) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61379474) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61379476) | |
| Enumeration Date | 2009-07-07 |
| Last Update Date | 2023-11-08 |