| NPI | 1972148732 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61200088) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60651370) |
| 390200000X Student in an Organized Health Care Education/Training Program | |
| Enumeration Date | 2019-11-15 |
| Last Update Date | 2022-06-22 |