| NPI | 1285179671 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60792931) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 00162313) |
| Enumeration Date | 2016-12-21 |
| Last Update Date | 2018-09-28 |