| NPI | 1861758591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60503335) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP4426) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201350072NP) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 20769) | |
| Enumeration Date | 2012-04-06 |
| Last Update Date | 2016-07-05 |