| NPI | 1679390652 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner Psychiatric/Mental Health (Licence: ND 202733) |
| Additional Taxonomies | 163WC0400X Registered Nurse Case Management (Licence: ND R38487) |
| Enumeration Date | 2024-09-23 |
| Last Update Date | 2025-06-13 |