| NPI | 1366473142 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006360) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30006360) |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2024-10-29 |