| NPI | 1104878438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30003735) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003735) |
| Enumeration Date | 2006-05-16 |
| Last Update Date | 2011-06-24 |