| NPI | 1699386367 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: WI 236244-30) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 236244-30) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: WI 236244-30) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10241-33) | |
| Enumeration Date | 2020-08-14 |
| Last Update Date | 2025-01-07 |