| NPI | 1669477451 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30005789) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA AP3005789) |
| 363L00000X Nurse Practitioner (Licence: WA AP30005789) | |
| Enumeration Date | 2005-06-17 |
| Last Update Date | 2013-10-22 |