NPI | 1376932111 |
---|---|
Former Name | HEATHER RAE BISHOP |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60793728) |
Enumeration Date | 2015-01-16 |
Last Update Date | 2019-04-29 |