| NPI | 1770804957 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60567285) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60567285) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 28228.1055) | |
| Enumeration Date | 2010-06-22 |
| Last Update Date | 2020-12-08 |