| NPI | 1063930121 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 9494033) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: PA SP017689) |
| Enumeration Date | 2017-09-08 |
| Last Update Date | 2024-12-16 |