| NPI | 1235758533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61180694) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 291966) |
| 163WE0003X Registered Nurse, Emergency (Licence: WA RN61076162) | |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2022-11-01 |