| NPI | 1043071848 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 37183) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: CO 1702189) |
| 163W00000X Registered Nurse (Licence: TN 273995) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10048672) | |
| 163W00000X Registered Nurse (Licence: OR 10048672) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: CO 1000650) | |
| Enumeration Date | 2024-01-18 |
| Last Update Date | 2025-08-08 |