| NPI | 1619013000 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30003634) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP30003634) |
| Enumeration Date | 2007-01-30 |
| Last Update Date | 2023-03-07 |