| NPI | 1376199661 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60989619) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP60989619) |
| Enumeration Date | 2019-08-13 |
| Last Update Date | 2020-05-01 |