| NPI | 1821472226 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 6467) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 6467-33) |
| Enumeration Date | 2015-07-15 |
| Last Update Date | 2022-02-13 |