| NPI | 1003425042 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11715-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5015151) |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: WI 195980-30) | |
| 390200000X Student in an Organized Health Care Education/Training Program (Licence: CT 151655) | |
| Enumeration Date | 2020-07-27 |
| Last Update Date | 2024-03-18 |