| NPI | 1194549170 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61688361) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60862616) |
| Enumeration Date | 2024-11-14 |
| Last Update Date | 2025-06-17 |