| NPI | 1023552254 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61351553) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WA AP61351553) |
| Enumeration Date | 2016-12-07 |
| Last Update Date | 2024-07-28 |