| NPI | 1639784838 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61437873) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60479330) |
| Enumeration Date | 2020-09-14 |
| Last Update Date | 2023-05-09 |