NPI | 1225687890 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61266539) |
Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA 60864652) |
Enumeration Date | 2019-09-06 |
Last Update Date | 2022-12-14 |