| NPI | 1477240240 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 1-185624) |
| Additional Taxonomies | 163WG0000X Registered Nurse, General Practice (Licence: AL 1-185624) |
| Enumeration Date | 2023-04-20 |
| Last Update Date | 2025-09-29 |