| NPI | 1275943292 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-142923) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: AL 1-142923) |
| Enumeration Date | 2014-04-29 |
| Last Update Date | 2026-05-26 |