| NPI | 1871027904 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61078096) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: TX 810971) |
| Enumeration Date | 2017-04-14 |
| Last Update Date | 2022-04-07 |