| NPI | 1184279739 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9428-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 189932-30) |
| Enumeration Date | 2019-08-09 |
| Last Update Date | 2024-12-09 |