| NPI | 1659903615 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MO 2020007037) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MO 2011015533) |
| Enumeration Date | 2020-02-07 |
| Last Update Date | 2025-06-26 |