| NPI | 1881020246 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60834536) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00165549) |
| Enumeration Date | 2013-09-17 |
| Last Update Date | 2021-01-15 |