| NPI | 1841809191 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61253063) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: TX 890866) |
| 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA RN61232446) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1056043) | |
| Enumeration Date | 2020-07-23 |
| Last Update Date | 2022-05-23 |