| NPI | 1083043350 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WY 53596) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WY 18621) |
| Enumeration Date | 2013-11-06 |
| Last Update Date | 2024-01-29 |