| NPI | 1700934288 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 360735230) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 210320) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5006500) | |
| 163W00000X Registered Nurse (Licence: WA 260731900) | |
| Enumeration Date | 2007-01-08 |
| Last Update Date | 2017-03-29 |