| NPI | 1306025606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN00049096) |
| Additional Taxonomies | 364SP0808X Clinical Nurse Specialist, Psych/Mental Health (Licence: WA AP30001487) |
| Enumeration Date | 2007-11-02 |
| Last Update Date | 2007-11-02 |