| NPI | 1619111739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60087396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA CREDENTIAL CREDENTIA) |
| 363L00000X Nurse Practitioner (Licence: WA AP60087396) | |
| 363LP0200X Nurse Practitioner Pediatrics (Licence: WA AP60087396) | |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2015-10-21 |