| NPI | 1407076599 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 3873) |
| Additional Taxonomies | 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: AK 965) |
| 363L00000X Nurse Practitioner (Licence: WI 3873) | |
| Enumeration Date | 2007-04-30 |
| Last Update Date | 2022-02-24 |