| NPI | 1023988581 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11043948) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 9590085) |
| Enumeration Date | 2025-11-10 |
| Last Update Date | 2025-12-26 |