| NPI | 1659763951 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ID 59009) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60533427) |
| 363L00000X Nurse Practitioner (Licence: WA AP60533427) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60533427) | |
| Enumeration Date | 2015-02-23 |
| Last Update Date | 2025-07-31 |