| NPI | 1669153888 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 61562152) |
| Additional Taxonomies | 163WM0705X Registered Nurse, Medical-Surgical (Licence: WA 60105913) |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WA 60105913) | |
| Enumeration Date | 2023-07-31 |
| Last Update Date | 2024-10-16 |