| NPI | 1356691836 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10482-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 168310-30) |
| 363L00000X Nurse Practitioner (Licence: WI 10482-33) | |
| Enumeration Date | 2012-09-12 |
| Last Update Date | 2024-01-25 |