| NPI | 1891358578 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 2084P0800X Psychiatry & Neurology, Psychiatry (Licence: WA AP61483653) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60832604) |
| Enumeration Date | 2019-04-17 |
| Last Update Date | 2024-04-15 |