| NPI | 1508620006 | 
|---|---|
| Entity Type | Individual | 
| Gender | Female | 
| Sole Proprietor ? | No | 
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: AL 181523)  | 
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WA AP61614134)  | 
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5019603)  | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD AC007087)  | |
| Enumeration Date | 2024-02-06 | 
| Last Update Date | 2025-06-17 |