| NPI | 1962828715 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL ARNP 9325109) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60920133) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 201811044) | |
| Enumeration Date | 2014-03-17 |
| Last Update Date | 2020-04-30 |