| NPI | 1952600066 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61618628) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60290488) |
| Enumeration Date | 2011-03-16 |
| Last Update Date | 2024-12-12 |