| NPI | 1821477258 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61285822) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MI 4704296484) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MI 4704296484) | |
| Enumeration Date | 2015-05-18 |
| Last Update Date | 2022-09-21 |