| NPI | 1811596182 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MD R182118) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: MD R182118) |
| 363LA2200X Nurse Practitioner, Adult Health (Licence: MD R182118) | |
| Enumeration Date | 2020-10-19 |
| Last Update Date | 2026-01-06 |