| NPI | 1689419954 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | Yes | 
| Primary Taxonomy | 176B00000X Midwife (Licence: WA 1234)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA 12334)  | 
| Enumeration Date | 2024-06-28 | 
| Last Update Date | 2024-10-04 |