| NPI | 1427573575 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: WI 14811-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse Home Health (Licence: WI 226893) |
| Enumeration Date | 2017-08-10 |
| Last Update Date | 2024-01-24 |