| NPI | 1215389820 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2021049921) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2022000400) |
| Enumeration Date | 2016-07-07 |
| Last Update Date | 2025-11-20 |