| NPI | 1912779885 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61498395) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND R48562) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024188680) | |
| Enumeration Date | 2023-10-24 |
| Last Update Date | 2024-08-06 |