| NPI | 1366840308 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13058-33) |
| Additional Taxonomies | 163WL0100X Registered Nurse, Lactation Consultant (Licence: WI ALPP-201563) |
| 363L00000X Nurse Practitioner (Licence: WI 13058-33) | |
| Enumeration Date | 2014-12-08 |
| Last Update Date | 2023-03-29 |