| NPI | 1407361405 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70015976) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 125780) |
| Enumeration Date | 2017-12-12 |
| Last Update Date | 2025-12-10 |