| NPI | 1083646897 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005477) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30005477) |
| 363LF0000X Nurse Practitioner, Family (Licence: WA AP30005477) | |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2008-05-21 |