| NPI | 1265872980 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60399130) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60068135) |
| 363L00000X Nurse Practitioner (Licence: WA AP60399130) | |
| Enumeration Date | 2013-06-26 |
| Last Update Date | 2013-09-24 |