| NPI | 1326438961 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2018012105) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2018009437) |
| Enumeration Date | 2015-02-04 |
| Last Update Date | 2025-11-07 |