| NPI | 1619154994 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1207733) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 148570030) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2023-01-17 |