NPI | 1164990453 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61438033) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60503280) |
Enumeration Date | 2018-11-05 |
Last Update Date | 2023-06-15 |