| NPI | 1629036181 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9449-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9449-33) |
| 363L00000X Nurse Practitioner (Licence: FL ARNP9169458) | |
| Enumeration Date | 2006-05-03 |
| Last Update Date | 2025-04-10 |