| NPI | 1386104420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 60991323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60771723) |
| Enumeration Date | 2019-03-24 |
| Last Update Date | 2019-09-04 |