| NPI | 1912233032 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201506948NP-PP) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61070949) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: TN 14474) | |
| Enumeration Date | 2009-10-23 |
| Last Update Date | 2023-02-01 |