| NPI | 1699144642 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G186137) |
| Additional Taxonomies | 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: IA 2178939) |
| 364SA2200X Clinical Nurse Specialist, Adult Health (Licence: SC 22461) | |
| 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22461) | |
| Enumeration Date | 2015-09-21 |
| Last Update Date | 2025-10-07 |