| NPI | 1205476603 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: WI 9822-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9822-33) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9822-33) | |
| Enumeration Date | 2020-01-14 |
| Last Update Date | 2024-04-23 |