| NPI | 1588081913 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5641-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5641) |
| Enumeration Date | 2014-03-24 |
| Last Update Date | 2024-09-23 |