| NPI | 1104554302 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 27180) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: SC 232093) |
| Enumeration Date | 2022-08-15 |
| Last Update Date | 2025-01-13 |