| NPI | 1386681500 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1856-033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 1856) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1856) | |
| Enumeration Date | 2006-05-31 |
| Last Update Date | 2016-11-10 |