| NPI | 1386364305 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70103669) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 61055275) |
| Enumeration Date | 2022-08-30 |
| Last Update Date | 2026-07-14 |