| NPI | 1669904108 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60929540) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60625891) |
| 163WC0400X Registered Nurse, Case Management (Licence: WA RN60625891) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60625891) | |
| Enumeration Date | 2017-04-03 |
| Last Update Date | 2019-09-25 |