| NPI | 1386700573 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00086523) |
| 363L00000X Nurse Practitioner (Licence: WA AP30006511) | |
| Enumeration Date | 2006-12-29 |
| Last Update Date | 2018-11-02 |