| NPI | 1659054617 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11037935) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9520128) |
| 163WA0400X Registered Nurse, Addiction (Substance Use Disorder) (Licence: FL RN9520128) | |
| 163WG0000X Registered Nurse, General Practice (Licence: FL RN9520128) | |
| 163WP0809X Registered Nurse, Psych/Mental Health, Adult (Licence: FL RN9520128) | |
| Enumeration Date | 2023-08-08 |
| Last Update Date | 2025-03-18 |