| NPI | 1518678820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13373-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 239579-30) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 239579-30) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: WI 239579-30) | |
| 363L00000X Nurse Practitioner (Licence: WI 13373-33) | |
| Enumeration Date | 2022-12-07 |
| Last Update Date | 2024-07-25 |