| NPI | 1497263438 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA PA61018533) |
| Additional Taxonomies | 363A00000X Physician Assistant (Licence: WA PA61018533) |
| Enumeration Date | 2018-01-11 |
| Last Update Date | 2025-06-27 |