| NPI | 1972258671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 73849) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10013293) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61350441) | |
| Enumeration Date | 2022-02-21 |
| Last Update Date | 2023-08-12 |