| NPI | 1336890490 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 8764-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 8764) |
| Enumeration Date | 2022-01-11 |
| Last Update Date | 2025-12-19 |