| NPI | 1326493891 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60677444) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CT 121853) |
| 163W00000X Registered Nurse (Licence: WA RN60657515) | |
| Enumeration Date | 2016-05-03 |
| Last Update Date | 2019-10-17 |