| NPI | 1861934218 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP60973014) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60416197) |
| Enumeration Date | 2016-11-15 |
| Last Update Date | 2021-02-17 |