| NPI | 1326718404 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5020508) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 280734) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: VI 0024182794) | |
| Enumeration Date | 2021-09-20 |
| Last Update Date | 2025-07-31 |