NPI | 1548980584 |
---|---|
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | No |
Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70002078) |
Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61338813) |
Enumeration Date | 2022-08-30 |
Last Update Date | 2025-06-02 |