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 |