| NPI | 1811426521 |
|---|---|
| Former Name | JESSICA EDITH GUPTILL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 364SP0809X Clinical Nurse Specialist, Psych/Mental Health, Adult (Licence: WA AP60991321) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WA AP60764043) |
| Enumeration Date | 2017-06-06 |
| Last Update Date | 2025-01-31 |