| NPI | 1326859299 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: OR 10053117) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: TN 281411) |
| 163W00000X Registered Nurse (Licence: OR 10053117) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: TN 40136) | |
| Enumeration Date | 2025-01-18 |
| Last Update Date | 2026-04-16 |