| NPI | 1992734073 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP30006712) |
| Additional Taxonomies | 363LC1500X Nurse Practitioner, Community Health (Licence: WA AP30006712) |
| Enumeration Date | 2006-07-01 |
| Last Update Date | 2018-05-18 |