| NPI | 1427775055 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13312-033) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 249488-30) |
| 363L00000X Nurse Practitioner (Licence: WI 13312-033) | |
| Enumeration Date | 2022-10-25 |
| Last Update Date | 2023-02-06 |