| NPI | 1437542388 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60545632) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00168874) |
| Enumeration Date | 2015-03-16 |
| Last Update Date | 2017-07-13 |