| NPI | 1821810086 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 163WC0400X Registered Nurse, Case Management (Licence: IA 152309) |
| Additional Taxonomies | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: IA G185965) |
| Enumeration Date | 2024-10-29 |
| Last Update Date | 2025-08-06 |