| NPI | 1952042533 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: ND 201915) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: ND R49947) |
| Enumeration Date | 2022-04-06 |
| Last Update Date | 2026-07-26 |