| NPI | 1952984510 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61218114) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: TX 918044) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1050064) | |
| Enumeration Date | 2021-05-03 |
| Last Update Date | 2023-07-02 |