| NPI | 1871252106 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61584834) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60974676) |
| Enumeration Date | 2021-12-14 |
| Last Update Date | 2024-07-27 |