| NPI | 1871994269 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61605197) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: AZ AP5738) |
| Enumeration Date | 2014-09-04 |
| Last Update Date | 2024-12-20 |