| NPI | 1386441152 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LA2200X Nurse Practitioner Adult Health (Licence: WI 803-033) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 803-033) |
| Enumeration Date | 2025-02-27 |
| Last Update Date | 2025-02-27 |