| NPI | 1720222839 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60737777) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60025121) |
| Enumeration Date | 2009-04-21 |
| Last Update Date | 2017-04-05 |