| NPI | 1134147481 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30002116) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00095354) |
| 363L00000X Nurse Practitioner (Licence: WA AP30002116) | |
| Enumeration Date | 2006-07-17 |
| Last Update Date | 2015-12-28 |