| NPI | 1891040812 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61091547) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: MT 68788) |
| 363LF0000X Nurse Practitioner Family (Licence: ND R38040) | |
| 363LF0000X Nurse Practitioner Family (Licence: WA AP61091547) | |
| Enumeration Date | 2012-07-16 |
| Last Update Date | 2023-09-18 |