| NPI | 1376412320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA ARNP.AP.70087591-NP) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN.RN.60336974) |
| Enumeration Date | 2025-10-29 |
| Last Update Date | 2026-08-10 |