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 |