| NPI | 1639476161 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60651678) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN001109971) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: OR 201802485NP-PP) | |
| Enumeration Date | 2011-02-18 |
| Last Update Date | 2020-01-21 |