| NPI | 1063118404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2023006107) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AR 22893) |
| 163W00000X Registered Nurse (Licence: MO 2018004709) | |
| Enumeration Date | 2023-02-07 |
| Last Update Date | 2025-11-28 |