| NPI | 1295569606 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-208214) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 37245) |
| 163W00000X Registered Nurse (Licence: TN 274382) | |
| Enumeration Date | 2024-08-28 |
| Last Update Date | 2026-07-21 |