| NPI | 1447819172 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60975323) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60495298) |
| Enumeration Date | 2019-06-06 |
| Last Update Date | 2019-07-30 |