| NPI | 1801444377 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 11014185) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: VA 0001171944) |
| 363L00000X Nurse Practitioner (Licence: VA 0024178909) | |
| Enumeration Date | 2019-08-28 |
| Last Update Date | 2025-06-10 |