| NPI | 1649022955 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61587799) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SC 235028) |
| 163W00000X Registered Nurse (Licence: WA RN60674130) | |
| Enumeration Date | 2024-04-02 |
| Last Update Date | 2025-12-02 |