| NPI | 1679243059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP61586022) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61058794) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: WA RN61058794) | |
| Enumeration Date | 2021-09-16 |
| Last Update Date | 2024-09-30 |