| NPI | 1487516340 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SD 200619) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: SD R045324) |
| Enumeration Date | 2025-12-01 |
| Last Update Date | 2026-08-13 |