| NPI | 1124556006 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60763396) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60445579) |
| Enumeration Date | 2017-05-23 |
| Last Update Date | 2022-05-31 |