| NPI | 1083923049 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8912-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 174079-030) |
| 163W00000X Registered Nurse (Licence: WI 174079-030) | |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 8912-33) | |
| 363L00000X Nurse Practitioner (Licence: WI 174079-30) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MT 172631) | |
| Enumeration Date | 2010-09-24 |
| Last Update Date | 2021-09-20 |