| NPI | 1952917825 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61441200) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60199157) |
| Enumeration Date | 2020-09-16 |
| Last Update Date | 2023-06-07 |