| NPI | 1598042145 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5690) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 5690) |
| Enumeration Date | 2011-11-10 |
| Last Update Date | 2021-05-18 |