| NPI | 1306014303 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8488-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 159779-30) |
| Enumeration Date | 2008-02-13 |
| Last Update Date | 2020-06-11 |