| NPI | 1982368767 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WA AP61229264) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WA RN60186926) |
| Enumeration Date | 2021-10-27 |
| Last Update Date | 2021-11-29 |