| NPI | 1821521758 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61199989) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60466870) |
| Enumeration Date | 2017-04-07 |
| Last Update Date | 2024-11-21 |