| NPI | 1861257495 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61542462) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ 306548) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: KS 5383039071) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA NP95029706) | |
| Enumeration Date | 2024-02-13 |
| Last Update Date | 2024-07-16 |