| NPI | 1467508341 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60737780)  | 
| Additional Taxonomies | 163WP2201X Registered Nurse, Ambulatory Care (Licence: WA RN00129609)  | 
| Enumeration Date | 2007-01-25 | 
| Last Update Date | 2017-12-06 |