| NPI | 1639041452 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5023206) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 281967) |
| Enumeration Date | 2025-09-22 |
| Last Update Date | 2025-12-10 |