| NPI | 1013556356 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363L00000X Nurse Practitioner (Licence: AL 1-162142) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner Family (Licence: AL 1-162142) |
| 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: AL 1-162142) | |
| Enumeration Date | 2020-01-03 |
| Last Update Date | 2025-05-01 |