| NPI | 1497402002 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP035677) |
| Additional Taxonomies | 163WC1500X Registered Nurse, Community Health (Licence: WA 61207432) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70008688) | |
| Enumeration Date | 2022-03-03 |
| Last Update Date | 2026-05-12 |