| NPI | 1992217822 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61099033) |
| Additional Taxonomies | 363LA2200X Nurse Practitioner Adult Health (Licence: TX 817455) |
| 363LG0600X Nurse Practitioner Gerontology (Licence: TX 817455) | |
| Enumeration Date | 2017-11-01 |
| Last Update Date | 2022-11-22 |