| NPI | 1992369243 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11002006) |
| Additional Taxonomies | 207RC0000X Internal Medicine, Cardiovascular Disease (Licence: FL 11002006) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61199394) | |
| Enumeration Date | 2019-04-23 |
| Last Update Date | 2022-04-26 |