| NPI | 1548668551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61070778) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA rn60486093) |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2020-06-09 |