| NPI | 1235365420 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11388-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MN 2484877) |
| 163WC1500X Registered Nurse, Community Health (Licence: WI 16559530) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 8914) | |
| Enumeration Date | 2009-06-02 |
| Last Update Date | 2022-05-12 |