| NPI | 1790375962 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 251803) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61098480) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT APRN-174376) | |
| Enumeration Date | 2021-01-21 |
| Last Update Date | 2024-03-13 |