| NPI | 1558650705 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5424-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170979-030) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 5424-33) | |
| Enumeration Date | 2011-03-28 |
| Last Update Date | 2024-10-14 |