| NPI | 1437211711 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60883511) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60220838) |
| 363L00000X Nurse Practitioner (Licence: WA AP60883511) | |
| Enumeration Date | 2006-12-14 |
| Last Update Date | 2020-06-18 |