| NPI | 1750120846 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61562959) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN00142317) |
| Enumeration Date | 2024-05-20 |
| Last Update Date | 2024-06-13 |