| NPI | 1023486016 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 49878) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 35906) |
| Enumeration Date | 2015-09-08 |
| Last Update Date | 2022-06-22 |