| NPI | 1578443057 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA SP036218) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: PA RN658991) |
| Enumeration Date | 2025-09-04 |
| Last Update Date | 2026-07-09 |