| NPI | 1538627468 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61217782) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60866729) |
| Enumeration Date | 2019-03-11 |
| Last Update Date | 2024-01-04 |