| NPI | 1780033431 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9713-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 174010-30) |
| 163WP0808X Registered Nurse, Psych/Mental Health (Licence: WI 174010-30) | |
| 363L00000X Nurse Practitioner (Licence: WI 9713-33) | |
| 363L00000X Nurse Practitioner (Licence: WI 174010-30) | |
| Enumeration Date | 2016-06-03 |
| Last Update Date | 2021-09-20 |