| NPI | 1871371633 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: WI 16909-33) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: IL 041.518035) |
| Enumeration Date | 2023-09-21 |
| Last Update Date | 2025-10-20 |