| NPI | 1790334712 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61122421) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO APN.0995182-NP) |
| 163WG0000X Registered Nurse, General Practice (Licence: TN 0000233237) | |
| Enumeration Date | 2019-09-11 |
| Last Update Date | 2022-09-16 |