| NPI | 1720941958 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 5023884) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: NC 385263) |
| Enumeration Date | 2025-12-04 |
| Last Update Date | 2026-02-05 |