NPI | 1164982583 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61174540) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60668359) |
Enumeration Date | 2019-03-21 |
Last Update Date | 2024-03-29 |