| NPI | 1710831169 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: PA sP036253) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G189781) |
| 163W00000X Registered Nurse (Licence: IA 173936) | |
| Enumeration Date | 2026-02-23 |
| Last Update Date | 2026-08-28 |