| NPI | 1245749126 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5010471) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 202215) |
| Enumeration Date | 2017-09-24 |
| Last Update Date | 2025-04-30 |