| NPI | 1801265053 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 255966) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201804902NP-PP) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60273070) | |
| Enumeration Date | 2015-09-17 |
| Last Update Date | 2024-04-11 |