| NPI | 1619696044 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61346048) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 10013406) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AZ 289348) | |
| Enumeration Date | 2022-08-29 |
| Last Update Date | 2025-03-26 |