| NPI | 1780702399 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60268409) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00166024) |
| Enumeration Date | 2007-03-26 |
| Last Update Date | 2013-01-24 |