| NPI | 1205011707 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30007970) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00163826) |
| Enumeration Date | 2008-01-02 |
| Last Update Date | 2008-04-15 |