| NPI | 1497599690 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN61104015) |
| Additional Taxonomies | 163WC0200X Registered Nurse, Critical Care Medicine (Licence: WA RN61104015) |
| Enumeration Date | 2024-06-21 |
| Last Update Date | 2025-07-01 |