| NPI | 1952981227 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11255-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 172556-30) |
| Enumeration Date | 2021-04-12 |
| Last Update Date | 2023-11-29 |