| NPI | 1972114023 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 363LP0808X Nurse Practitioner, Psych/Mental Health (Licence: FL 1107822) |
| Additional Taxonomies | 163W00000X Registered Nurse (Licence: FL 2900802) |
| 163WP0807X Registered Nurse, Psych/Mental Health, Child & Adolescent (Licence: FL 11007822) | |
| Enumeration Date | 2020-08-12 |
| Last Update Date | 2023-08-22 |