| NPI | 1740318823 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0992318-NP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60742538) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 17133) | |
| Enumeration Date | 2007-03-01 |
| Last Update Date | 2018-01-12 |