| NPI | 1770138562 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: SC 22936) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: SC 22936) |
| Enumeration Date | 2019-08-07 |
| Last Update Date | 2025-07-31 |