| NPI | 1114493004 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61256169) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60476961) |
| 363L00000X Nurse Practitioner (Licence: WA AP61256169) | |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-05-15 |