| NPI | 1164441580 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1826) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 67884) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 1826) | |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2020-11-19 |