| NPI | 1336630821 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60854093) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60854093) |
| Enumeration Date | 2018-05-21 |
| Last Update Date | 2020-06-11 |