| NPI | 1689943250 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 7321-33) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: WI 7321) |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MN 10376) | |
| Enumeration Date | 2011-12-27 |
| Last Update Date | 2025-11-02 |