| NPI | 1689299919 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61169907) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61160798) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: VA 0001265612) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 27739) | |
| Enumeration Date | 2020-06-12 |
| Last Update Date | 2022-01-28 |