| NPI | 1063249308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70023788) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60258435) |
| Enumeration Date | 2024-09-19 |
| Last Update Date | 2025-08-02 |