| NPI | 1326807033 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 14692) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 14692-33) |
| Enumeration Date | 2024-03-15 |
| Last Update Date | 2024-05-09 |