| NPI | 1245953322 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 70133420) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60446798) |
| Enumeration Date | 2022-09-22 |
| Last Update Date | 2026-06-29 |