| NPI | 1952951402 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 9517) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 9517) |
| Enumeration Date | 2019-09-17 |
| Last Update Date | 2022-10-11 |