| NPI | 1982153649 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AZ AP9792) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP61243298) |
| 363LF0000X Nurse Practitioner, Family (Licence: AZ AP9792) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61243298) | |
| Enumeration Date | 2016-09-22 |
| Last Update Date | 2022-03-17 |