| NPI | 1669272944 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: NC 5021908) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001306138) |
| 163W00000X Registered Nurse (Licence: NY 897278) | |
| Enumeration Date | 2025-03-17 |
| Last Update Date | 2025-04-07 |