| NPI | 1275961203 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 5554-33) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5554-33) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 5554-33) | |
| Enumeration Date | 2013-10-30 |
| Last Update Date | 2023-09-21 |