NPI | 1659023737 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61347211) |
Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1059964) |
363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 69424) | |
Enumeration Date | 2022-01-20 |
Last Update Date | 2023-05-19 |