| NPI | 1295247237 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8110) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8110) |
| 163W00000X Registered Nurse (Licence: WI 69865) | |
| Enumeration Date | 2017-10-31 |
| Last Update Date | 2026-06-09 |