| NPI | 1093347973 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24101) |
| Additional Taxonomies | 163WA2000X Registered Nurse, Administrator (Licence: SC 100313) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 363LP0808X) | |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2024-03-25 |