| NPI | 1801077169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61005962) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00175337) |
| Enumeration Date | 2007-11-15 |
| Last Update Date | 2019-11-04 |