| NPI | 1720637424 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61007015) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60471609) |
| Enumeration Date | 2019-09-05 |
| Last Update Date | 2020-06-01 |