| NPI | 1346948551 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 13613) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 13613) |
| Enumeration Date | 2023-02-16 |
| Last Update Date | 2025-09-30 |