| NPI | 1902136047 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 4003) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 170811) |
| 367A00000X Advanced Practice Midwife (Licence: WI 148839-32) | |
| Enumeration Date | 2010-01-13 |
| Last Update Date | 2022-02-04 |