| NPI | 1326418971 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60884302) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60557169) |
| Enumeration Date | 2015-09-25 |
| Last Update Date | 2019-07-26 |