| NPI | 1619792918 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 907106) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA N361652429) |
| 163W00000X Registered Nurse (Licence: MS 900375) | |
| Enumeration Date | 2024-11-21 |
| Last Update Date | 2025-01-21 |