| NPI | 1598319246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: FL APRN11002984) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP-64244) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61406384) | |
| Enumeration Date | 2019-07-31 |
| Last Update Date | 2023-12-06 |