| NPI | 1154819662 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 24934) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN RN0000201924) |
| Enumeration Date | 2018-04-30 |
| Last Update Date | 2024-03-14 |