| NPI | 1386872596 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7203-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 7203) |
| Enumeration Date | 2009-06-25 |
| Last Update Date | 2021-12-06 |