| NPI | 1699471292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WA RN60184408) |
| Additional Taxonomies | 163WP0809X Registered Nurse Psychiatric/Mental Health, Adult (Licence: WA RN60184408) |
| 171400000X | |
| Enumeration Date | 2023-02-06 |
| Last Update Date | 2023-02-06 |