| NPI | 1972808491 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WA AP60326660) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60109880) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WA RN60109880) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA RN60109880) | |
| Enumeration Date | 2011-01-13 |
| Last Update Date | 2021-06-10 |