| NPI | 1821394974 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: MT NUR-RN-LIC-46667) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60202570) |
| Enumeration Date | 2011-02-08 |
| Last Update Date | 2020-04-22 |