| NPI | 1831533264 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP 60311598) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN 60166546) |
| Enumeration Date | 2013-04-29 |
| Last Update Date | 2014-09-23 |