| NPI | 1033386446 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 289390) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CA 533187) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VA 0024178121) | |
| Enumeration Date | 2008-05-14 |
| Last Update Date | 2025-11-13 |