| NPI | 1427854512 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11037892) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9518939) |
| Enumeration Date | 2025-02-20 |
| Last Update Date | 2026-01-06 |