| NPI | 1386489201 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 907247) |
| Additional Taxonomies | 163WC0400X Registered Nurse, Case Management (Licence: MS 912579) |
| Enumeration Date | 2024-07-01 |
| Last Update Date | 2025-06-16 |