| NPI | 1790223550 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61030812) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9317901) |
| 363LP2300X Nurse Practitioner, Primary Care (Licence: FL ARNP 9317901) | |
| Enumeration Date | 2017-02-01 |
| Last Update Date | 2025-01-24 |