| NPI | 1437925492 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5022613) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 333852) |
| Enumeration Date | 2023-11-30 |
| Last Update Date | 2025-08-15 |