| NPI | 1285913277 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 4494-33) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 4494-33) |
| Enumeration Date | 2011-08-09 |
| Last Update Date | 2025-09-23 |