| NPI | 1548805526 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 15053) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 250248) |
| 363L00000X Nurse Practitioner (Licence: WI 15053) | |
| Enumeration Date | 2019-11-13 |
| Last Update Date | 2025-11-06 |