| NPI | 1083233308 |
|---|---|
| Former Name | MIRANDA SHAE HANDLEY |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-156251) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-156251) |
| Enumeration Date | 2020-04-16 |
| Last Update Date | 2024-11-26 |