| NPI | 1518353762 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15844-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 15844-33) |
| 163W00000X Registered Nurse (Licence: WI 219303-30) | |
| Enumeration Date | 2015-04-14 |
| Last Update Date | 2026-05-22 |