| NPI | 1366430977 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006266) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: FL ARNP9209238) |
| 363L00000X Nurse Practitioner (Licence: WA AP30006266) | |
| Enumeration Date | 2005-10-07 |
| Last Update Date | 2022-04-26 |