| NPI | 1831475409 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60483318) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NM CNP 01867) |
| Enumeration Date | 2011-10-27 |
| Last Update Date | 2015-11-19 |