NPI | 1942844287 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61014320) |
Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA AP61014320) |
207Q00000X Family Medicine (Licence: WA 61016533) | |
Enumeration Date | 2019-10-30 |
Last Update Date | 2023-07-10 |