| NPI | 1083492516 |
|---|---|
| Professional Name | N/A N/A |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LF0000X Nurse Practitioner, Family (Licence: FL F09230534) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11028899) |
| Enumeration Date | 2023-09-18 |
| Last Update Date | 2026-08-08 |