| NPI | 1669940987 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61474445) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN61096565) |
| Enumeration Date | 2018-11-05 |
| Last Update Date | 2023-10-05 |