| NPI | 1720389075 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60459723) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60459722) |
| Enumeration Date | 2010-11-03 |
| Last Update Date | 2017-03-23 |