| NPI | 1235252339 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 552) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 552-33) |
| Enumeration Date | 2007-04-06 |
| Last Update Date | 2022-09-06 |