| NPI | 1104394097 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 60979518) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60326130) |
| Enumeration Date | 2018-11-08 |
| Last Update Date | 2019-07-10 |