| NPI | 1407637754 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61482813) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CA 840344) |
| 363LF0000X Nurse Practitioner Family (Licence: CA 95007495) | |
| Enumeration Date | 2023-10-12 |
| Last Update Date | 2023-10-12 |