| NPI | 1114441540 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7810-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 155739-30) |
| Enumeration Date | 2017-07-27 |
| Last Update Date | 2017-08-18 |