NPI | 1124398482 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60296557) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00125750) |
Enumeration Date | 2012-01-04 |
Last Update Date | 2019-01-29 |