| NPI | 1033611439 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 70109591) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: GA 215128) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: GA 215128) | |
| Enumeration Date | 2018-03-02 |
| Last Update Date | 2026-05-28 |