| NPI | 1609589274 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61480197) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60551808) |
| Enumeration Date | 2022-12-28 |
| Last Update Date | 2023-10-11 |