| NPI | 1730339417 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 10172-33) |
| Additional Taxonomies | 163WH0200X Registered Nurse, Home Health (Licence: WI 158725-30) |
| Enumeration Date | 2008-09-30 |
| Last Update Date | 2024-05-29 |