| NPI | 1821710062 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 314525) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: GA rn266655) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ap61613127) | |
| Enumeration Date | 2022-09-14 |
| Last Update Date | 2024-10-23 |