| NPI | 1770874422 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1347-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 131135) |
| Enumeration Date | 2011-04-29 |
| Last Update Date | 2014-09-19 |