NPI | 1285179671 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/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 |