| NPI | 1235830365 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP029914) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61174885) |
| 163W00000X Registered Nurse (Licence: MA RN2325621) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61464829) | |
| Enumeration Date | 2023-03-15 |
| Last Update Date | 2024-09-24 |