| NPI | 1265414544 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 74724) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60178019) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61405417) | |
| Enumeration Date | 2005-11-14 |
| Last Update Date | 2023-07-13 |