| NPI | 1972382398 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP70040291) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA 60749207) |
| Enumeration Date | 2023-09-25 |
| Last Update Date | 2025-12-18 |