| NPI | 1750853297 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61310807) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60779241) |
| Enumeration Date | 2018-12-21 |
| Last Update Date | 2023-02-15 |