| NPI | 1235158593 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 548-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 47286-030) |
| Enumeration Date | 2006-07-18 |
| Last Update Date | 2008-01-28 |