| NPI | 1538576905 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5842-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5842) |
| Enumeration Date | 2014-07-17 |
| Last Update Date | 2024-08-19 |