| NPI | 1205687621 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61576793) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61206916) |
| Enumeration Date | 2024-04-01 |
| Last Update Date | 2024-12-16 |