| NPI | 1962266114 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: LA 207197) |
| Additional Taxonomies | 163WP0808X Registered Nurse, Psych/Mental Health (Licence: LA 207197) |
| 163W00000X Registered Nurse (Licence: LA 207197) | |
| Enumeration Date | 2024-02-08 |
| Last Update Date | 2026-06-01 |