| NPI | 1689079980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61257602) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201601637NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN RN0000196558) | |
| Enumeration Date | 2014-10-29 |
| Last Update Date | 2022-09-01 |