| NPI | 1164990453 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61438033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60503280) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-06-15 |