NPI | 1023797149 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61261458) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA AP61261458) |
Enumeration Date | 2023-07-17 |
Last Update Date | 2024-09-05 |