| NPI | 1871052266 |
|---|---|
| Former Name | ELIZA ANNE JORDAN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61250647) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WA RN60767346) |
| Enumeration Date | 2019-03-15 |
| Last Update Date | 2024-02-02 |