| NPI | 1851977706 |
|---|---|
| Entity Type | Individual |
| Gender | Male |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61505604) |
| Additional Taxonomies | 163WA2000X Registered Nurse Administrator (Licence: WA RN60946240) |
| 163WG0000X Registered Nurse General Practice (Licence: WA RN60946240) | |
| 163WC0400X Registered Nurse Case Management (Licence: WA RN60946240) | |
| 163WC1600X Registered Nurse Continuing Education/Staff Development (Licence: WA RN60946240) | |
| 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN60946240) | |
| 363L00000X Nurse Practitioner (Licence: WA AP61505604) | |
| Enumeration Date | 2021-03-22 |
| Last Update Date | 2024-10-02 |