| NPI | 1649711441 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN.00155284) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 2025022194) |
| Enumeration Date | 2017-03-13 |
| Last Update Date | 2025-11-17 |