| NPI | 1467880641 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5527-33) |
| Additional Taxonomies | 363LG0600X Nurse Practitioner, Gerontology (Licence: WI 5527-33) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 5527-33) | |
| Enumeration Date | 2013-10-24 |
| Last Update Date | 2020-11-14 |