| NPI | 1730658543 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61443771) |
| Additional Taxonomies | 171M00000X Case Manager/Care Coordinator |
| 163W00000X Registered Nurse (Licence: TX 1043011) | |
| Enumeration Date | 2018-11-21 |
| Last Update Date | 2023-08-04 |