NPI | 1639645674 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61435331) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60807969) |
Enumeration Date | 2018-10-17 |
Last Update Date | 2024-10-10 |