| NPI | 1851010839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10011552) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: MO RN60655472) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61352698) | |
| Enumeration Date | 2022-08-24 |
| Last Update Date | 2023-12-18 |