| NPI | 1962779041 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: CA 21047) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60282818) |
| 363L00000X Nurse Practitioner (Licence: WA AP60282818) | |
| Enumeration Date | 2011-11-17 |
| Last Update Date | 2022-06-05 |