| NPI | 1346902418 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD CP002575) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R46351) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 9991) | |
| Enumeration Date | 2021-10-06 |
| Last Update Date | 2026-07-02 |