| NPI | 1861009714 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: MS 906056) |
| Additional Taxonomies | 363LF0000X Nurse Practitioner, Family (Licence: MS 906056) |
| 163W00000X Registered Nurse (Licence: MS R872782) | |
| Enumeration Date | 2020-09-24 |
| Last Update Date | 2026-06-29 |