| NPI | 1225687890 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61266539) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: WA 60864652) |
| Enumeration Date | 2019-09-06 |
| Last Update Date | 2022-12-14 |