| NPI | 1811876378 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: NC 2025097062) |
| Additional Taxonomies | 163WE0003X Registered Nurse, Emergency (Licence: NC 330861) |
| Enumeration Date | 2025-08-28 |
| Last Update Date | 2026-05-26 |