| NPI | 1356987739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61322871) |
| Additional Taxonomies | 390200000X Student in an Organized Health Care Education/Training Program |
| 163WE0003X Registered Nurse, Emergency (Licence: WA RN60905611) | |
| Enumeration Date | 2019-11-21 |
| Last Update Date | 2022-08-15 |