| NPI | 1205858289 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ID NP-780) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP3000-7028) |
| Enumeration Date | 2006-07-25 |
| Last Update Date | 2012-04-04 |