| NPI | 1144570433 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0200X Nurse Practitioner Pediatrics (Licence: WI 4971-33) |
| Additional Taxonomies | 163WP0808X Registered Nurse Psychiatric/Mental Health (Licence: WI 170295-30) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 4971-33) | |
| Enumeration Date | 2012-09-13 |
| Last Update Date | 2018-03-17 |