| NPI | 1720553654 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11046092) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL RN9555369) |
| Enumeration Date | 2018-10-08 |
| Last Update Date | 2026-03-16 |