| NPI | 1336675529 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP60793275) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60786069) |
| Enumeration Date | 2017-05-07 |
| Last Update Date | 2023-03-22 |