| NPI | 1689155343 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61178155) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60648747) |
| Enumeration Date | 2018-08-21 |
| Last Update Date | 2022-05-04 |