| NPI | 1528651320 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61426711) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60619311) |
| Enumeration Date | 2021-02-12 |
| Last Update Date | 2023-05-22 |