| NPI | 1407533672 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 14115-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 14115-33) |
| 163W00000X Registered Nurse (Licence: WI 229878-30) | |
| Enumeration Date | 2023-06-29 |
| Last Update Date | 2024-07-03 |