| NPI | 1659324176 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1070-033) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 1070-033) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: WI 1070-033) | |
| Enumeration Date | 2006-05-18 |
| Last Update Date | 2010-01-25 |