| NPI | 1528464914 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61102259) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61102252) |
| 163W00000X Registered Nurse (Licence: IN 28135130A) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IN 71005288A) | |
| Enumeration Date | 2014-11-12 |
| Last Update Date | 2022-06-07 |