| NPI | 1780268532 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61327874) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60814986) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2021-05-07 |
| Last Update Date | 2022-07-20 |