| NPI | 1992974059 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60180768) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00174332) |
| Enumeration Date | 2008-02-22 |
| Last Update Date | 2010-11-02 |