| NPI | 1487085445 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11288) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 198046-30) |
| 363LF0000X Nurse Practitioner, Family (Licence: WI 11288) | |
| Enumeration Date | 2013-12-02 |
| Last Update Date | 2024-07-17 |