| NPI | 1629603949 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61678118) | 
| Additional Taxonomies | 367A00000X Advanced Practice Midwife (Licence: WA AP61046288) | 
| Enumeration Date | 2020-03-06 | 
| Last Update Date | 2025-04-30 |