| NPI | 1639645674 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61435331) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60807969) |
| Enumeration Date | 2018-10-17 |
| Last Update Date | 2024-02-28 |