| NPI | 1023288016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 10928-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WI 161107-030) |
| 363L00000X Nurse Practitioner (Licence: WI 10928-33) | |
| Enumeration Date | 2008-03-05 |
| Last Update Date | 2022-12-30 |