| NPI | 1609499821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61075770) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA RN61075767) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX AP145746) | |
| Enumeration Date | 2020-05-21 |
| Last Update Date | 2023-08-25 |