| NPI | 1699368688 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 11813) |
| Additional Taxonomies | 363L00000X Nurse Practitioner (Licence: WI 11813-13) |
| Enumeration Date | 2021-02-19 |
| Last Update Date | 2025-10-20 |