| NPI | 1073561205 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163W00000X Registered Nurse (Licence: WI RN 89130-030) |
| Additional Taxonomies | 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI APNP 1023-033) |
| Enumeration Date | 2006-05-04 |
| Last Update Date | 2022-07-21 |