| NPI | 1790272920 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61114929) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1016777) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NM 61852) | |
| Enumeration Date | 2018-04-13 |
| Last Update Date | 2023-12-27 |