| NPI | 1154859585 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 60764838) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60158804) |
| Enumeration Date | 2017-05-30 |
| Last Update Date | 2017-07-06 |