| NPI | 1710347943 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G166344) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: IA A149915) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 70003309-NP) | |
| Enumeration Date | 2016-03-01 |
| Last Update Date | 2025-08-06 |