| NPI | 1679010052 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60957116) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: TN AP132408) |
| Enumeration Date | 2017-01-24 |
| Last Update Date | 2022-01-18 |