| NPI | 1962960930 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61295115) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TX 946868) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TX 1028699) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MA RN2330477) | |
| Enumeration Date | 2019-03-07 |
| Last Update Date | 2022-07-23 |