| NPI | 1376608307 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61014304) |
| Additional Taxonomies | 171100000X Acupuncturist (Licence: WA Ac00002103) |
| Enumeration Date | 2006-12-27 |
| Last Update Date | 2023-02-02 |