| NPI | 1356764658 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 1741533) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: WI 196882-30) |
| Enumeration Date | 2014-01-23 |
| Last Update Date | 2025-09-11 |