| NPI | 1396989141 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 5697) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11017246) |
| 363L00000X Nurse Practitioner (Licence: WI 5697) | |
| Enumeration Date | 2009-04-23 |
| Last Update Date | 2026-03-04 |